MONTHLY COMMITMENT - FINANCIAL INSTITUTIONS RELATED TANGGUNGANBULANAN- BERKAITANDENGANINSTITUSI KEWANGAN

Monthly Commitment 1aoqquoqao 8u|aoao RM

Monthly Financing Payment 8ayarao Pemb|ayaao 8u|aoao
RM
RM
RM
Total Jumlah RM
RM
TermFinancial Pemb|ayaao 8erjaoq|a
Overdraft Oerdraj
Hire Purchase Sewa 8e||
Others* la|o|a|o
* Please state in details S||a oyata|ao deoqao terper|oc|
FOR BANK STAFF USE UNTUK KEGUNAAN STAF BANK
Branch :
Date Received :
A A No. :
CIF No. :
Campaign Code :
CREDIT CARD AND CHARGE CARD APPLICATION FORM BORANG PERMOHONAN KAD KREDIT DAN KAD CAJ
To qualify, applicants must be years or above for Principal Cardmember, and years or above for Supplementary Cardmember. Age limit for applicants is years.
Pemoboo mest||ab berus|a 2 tabuo |e atas uotu| me|aya||aooya meojad| Ab|| lad Jtama, dao berus|a 8 tabuo |e atas uotu| meojad| Ab|| lad 1ambabao. ad umur uotu|
pemoboo ada|ab 65 tabuo.
To expedite processing, please enclose Jotu| memudab|ao pemprosesao, s||a serta|ao.
a. Copy of NRIC (both sides) or passport, supplementary applicants' included.
b. Latest BE form with official tax receipt.
c. Latest months' salary slips OR Latest EPF statement.
d. Latest months' savings account transaction current account statements.
e. For Self-employed - Copies of your Business Registration and latest
months bank statements.
f. For Expatriates - Letter from employer confirming duration of employment
contract in Malaysia. Applicant must be a Maybank account holder.
g. For Graduates - Copy of Degree Certificate Professional Qualification
and employment letter OR months salary slip.
a. Sa||oao lad Peoqeoa|ao (depao dao be|a|aoq) atau pasport, termasu| pemoboo
tambabao.
b. 8oraoq 8l ter||o| serta res|t cu|a| rasm|.
c. Peoyata qaj| 3 bu|ao ter||o| A1AJPeoyata lWSP ter||o|.
d. 1raosa|s| a|auo s|mpaoao / peoyata a|auo semasa 6 bu|ao ter||o|.
e. Jotu| yaoq 8e|erja Seod|r| sa||oao Peodajtarao Pero|aqaao dao peoyata bao|
6 bu|ao tera|b|r.
j. Jotu| Pe|erja As|oq Surat dar|pada maj||ao meoqesab|ao tempob |ootra|
pe|erjaao d| Ma|ays|a. Pemoboo mest||ab merupa|ao pemeqaoq a|auo Maybao|.
q. Jotu| Graduao Sa||oao ljazab / le|aya|ao Projess|ooa| dao surat tawarao
|erja A1AJpeoyata qaj| 3 bu|ao.
Name as in NRIC or Passport
Nama sepert| d| da|am lad Peoqeoa|ao atau Pasport.
Name to appear on card Nama uotu| d|ceta| pada |ad
(Max|mum 9 cbaracters 1|da| me|eb|b| 9 buruj)
Contact Details 8ut|rbut|r Perbubuoqao
House Tel. No. No. 1e|. kumab
HP No. No. 1e|. 8|mb|t
E-Mail lMe|
Residential Status 1araj led|amao
Own Seod|r|
Parents M|||| lbu 8apa
Others la|o|a|o
Tenant Sewa
Relatives M|||| Saudara
Years of Occupancy 1empob Meoetap
Residential Address A|amat led|amao
City 8aodar State Neqer|
Postcode Pos|od
Salutation Ge|arao
Mr loc||
Ms C||
Mdm Puao
Others la|o|a|o
Gender jaot|oa
Male le|a|| Female Perempuao
Nationality Warqaoeqara
Malaysia Others la|o|a|o
NRIC No. (New)
No. lP (8aru)
NRIC No. (Old)
No. lP (lama)
Passport No.
No. Pasport
Date of Birth
1ar||b lab|r
Religion Aqama
Marital Status 1araj Per|abw|oao
Single 8ujaoq
Widow 8a|u
Married 8er|abw|o
Divorced 8ercera|
No. of Dependants 8||aoqao 1aoqquoqao
Mother's Name Nama |bu
(This feature is for your security when verification is required
C|r| |o| ada|ab uotu| |ese|amatao aoda j||a peoqesabao d|per|u|ao)
Education level 1abap Peod|d||ao
Primary Peod|d||ao keodab
Secondary Peod|d||ao Meoeoqab
Masters ljazab laojutao
Professional Qualification / le|aya|ao Projes|ooa|
Diploma 0|p|oma
Degree ljazab
Doctorate ledo|torao
MONTHLY STATUTORY DEDUCTIONS POTONGAN BULANAN BERKANUN
EPF lWSP
Income Tax Cu|a| Peodapatao (PC8)
SOCSO PlkllSO
RM
RM
RM
Total Jumlah RM
RM Others* la|o|a|o
* Please state in details eg: Zakat, Income Tax CP
S||a oyata|ao deoqao terper|oc| cootob. Za|at, Cu|a| Peodapatao CP38
Note: Documents submitted are non-returnable. Additional documents may be requested (when necessary) upon processing. Approval is subject to the Banks credit
assessment and the Bank has the right not to disclose reasons for declining. Nota. 0o|umeo yaoq d|baotar t|da| a|ao d||emba|||ao. 0o|umeo tambabao muoq||o d|m|ota
(j||a per|u) semasa pemprosesao. le|u|usao terta||u| |epada pemer||saao |red|t 8ao| dao 8ao| berba| uotu| t|da| meoqemu|a|ao a|asao peoo|a|ao.
SECTION A SEKSYEN A SECTION B SEKSYEN B
Total Jumlah RM
Gross Monthly Income Peodapatao lasar RM
Fixed Allowance l|auo 1etap RM
Non Fixed Allowance l|auo 1|da| 1etap RM
Commissions lom|seo
Rental* Sewa RM
RM
(Please state in details S||a oyata|ao deoqao terper|oc|)
Others* la|o|a|o
* Please enclose evidence of income eg: ASB FD Certificate Tenancy Agreement etc.
S||a |amp|r|ao bu|t| peodapatao, cootob. AS8 / S|j|| S|mpaoao 1etap / Perjaoj|ao Sewaao d||.
NOTE NOTA:
Where tenure is requested beyond retirement age,
to provide source of income S||a oyata|ao sumber
peodapatao se||raoya tempob pemb|ayaao me|eb|b|
umur persaraao.
EPF lWSP
Savings FD ASB
Rental Income Peodapatao Sewa
Others la|o|a|o
Designation jawatao
Nature of Business jeo|s Pero|aqaao
Length of Service 1empob Per|b|dmatao
Business Classification l|as|j||as| Pero|aqaao
Sole Proprietorship M|||| Seod|r|
Partnership Per|ooqs|ao
MNC Public Listed MNC / Seoara| Awam
Name of Employer or Firm Nama Maj||ao atau l|rma
Office Address A|amat Pejabat
City 8aodar State Neqer|
Office Tel. No. No. 1e|. Pejabat
Office Fax No. No. la|s Pejabat
Postcode Pos|od
Terms of Employment 1erma Pe|erjaao
Contract lootra| Permanent le|a|
I We wish to apply for (please tick where applicable) Saya / lam| |oq|o memoboo (s||a taoda|ao yaoq maoa ber|eoaao).
Credit Card Kad Kredit
SONY CARD VISA
PETRONAS MAYBANK VISA GOLD
AMERICAN EXPRESS

GOLD CREDIT CARD

AMERICAN EXPRESS

PLATINUMCREDIT CARD
MAYBANK MANCHESTER UNITED VISA CARD
MAYBANK WORLD MASTERCARD
VISA GOLD
PETRONAS MAYBANK VISA PLATINUM
MASTERCARD GOLD
SINGAPORE AIRLINES KRISFLYER
AMERICAN EXPRESS

GOLD CREDIT CARD

MAYBANK PLATINUMCARDS
VISA PLATINUM
MAYBANK VISA INFINITE
MASTERCARD PLATINUM
Charge Card Kad Caj
AMERICAN EXPRESS

CARD AMERICAN EXPRESS

GOLD CARD
Sdn Bhd
Government lerajaao
Others la|o|a|o

Please complete this form in BLOCK LETTERS

Sila isikan borang ini dengan menggunakan HURUF BESAR
APPLICANT PERSONAL INFORMATION MAKLUMAT PERIBADI PEMOHON
APPLICANT EMPLOYMENT INFORMATION MAKLUMAT PEKERJAAN PEMOHON
Card Type Jenis Kad
American Express

MasterCard Visa
PETRONAS Maybank Visa Sony Card Visa Manchester United Visa Card Maybank Cards
Gold lmas
Singapore Airlines KrisFlyer American Express

Gold Credit Card

Platinum P|at|oum
American Express

Card
American Express

Gold Card
World MasterCard Visa Infinite
Minima annual income requirements
Keperluan minima pendapatan tahunan (RM)
,
,
,
,
,
,
,
MAYBANK MANCHESTER UNITED
VISA INFINITE
MAYBANK GOLD CARDS
OTHERS lAlNlAlN
Salutation Ge|arao
Mr loc||
Ms C||
Mdm Puao
Others la|o|a|o
Name as in NRICor Passport Nama sepert| d| da|amlad Peoqeoa|ao atau Pasport
NRIC No. (New)
No. lP (8aru)
NRIC No. (Old)
No. lP (lama)
Passport No.
No. Pasport
Date of Birth
1ar||b lab|r
Name to appear on card (Maximum characters)
Nama uotu| d|ceta| pada |ad (1|da| me|eb|b| 9 buruj)
Relationship to Principal Cardmember
ubuoqao deoqao Ab|| lad Jtama
Residential Address (If other than Principal Cardmember address)
A|amat led|amao (j||a berbeza deoqao a|amat Ab|| lad Jtama)
Country Neqara
Designation jawatao
Annual Income Peodapatao 1abuoao
Name and Address of Employer Nama dao A|amat Maj||ao
City 8aodar State Neqer|
Office Tel. No. No. 1e|. Pejabat
Postcode Pos|od
RM
City 8aodar State Neqer|
Postcode Pos|od
MONTHLY COMMITMENT - NON-FINANCIAL INSTITUTIONS RELATED TANGGUNGANBULANAN- BERKAITANDENGANINSTITUSI BUKANKEWANGAN
Monthly Financing Payment 8ayarao Pemb|ayaao 8u|aoao .
Non-Financial Institutions related eg: Monthly instalment to finance the purchase of washing machine or furniture fromConsumer Electronics and Furniture Retailers
8er|a|tao deoqao lost|tus| 8u|ao lewaoqao, cootob. Aosurao bu|aoao uotu| pembe||ao mes|o basub atau perabot deoqao 'Peruoc|tao Peoqquoa l|e|tr|| dao Perabot'
NOTE NOTA:
Total Jumlah RM
I aman existing KrisFlyer member. My KrisFlyer Membership. No. is
Saya ada|ab ab|| lr|sl|yer. No. leab||ao lr|sl|yer saya ada|ab.
No. I amnot an existing KrisFlyer member. I understand I have to be a KrisFlyer member to apply. Please enrol me
1|da|, saya bu|ao ab|| lr|sl|yer. Saya jabamyaoq saya per|u meojad| ab|| lr|sl|yer uotu| memoboo. S||a dajtar|ao saya.
Are you a member of any Frequent Flyer Programme? Ada|ao aoda ab|| baq| maoamaoa Proqram Peoerbaoqao lerap?
Yes Ya No 1|da|
American Express

Gold Cardmembers will be automatically enrolled in the Frequent Traveller Option and RM annual fees will be waived.
Ab||ab|| lad lmas Amer|cao lxpress

a|ao d|dajtar|ao secara automat|| da|am Opsyeo Peoqembara lerap dao yurao tabuoao kM50 a|ao d||ecua|||ao.
If yes, please indicate programme membership no. j||a ya, s||a oyata|ao proqram/ oo. |eab||ao
Are you an existing Malaysia Airlines Enrich Member? Ada|ab aoda Ab|| Ma|ays|a A|r||oes lor|cb?
Yes, my Enrich membership number is Ya, oombor lor|cb saya |a|ab . MH
I We wish to apply for (please tick where applicable) Saya / lam| |oq|o memoboo (S||a taoda|ao yaoq maoa ber|eoaao).
Credit Card Kad Kredit
SONY CARD VISA
PETRONAS MAYBANK VISA GOLD
AMERICAN EXPRESS

GOLD CREDIT CARD

AMERICAN EXPRESS

PLATINUMCREDIT CARD
MAYBANK MANCHESTER UNITED VISA CARD
MAYBANK WORLD MASTERCARD
VISA GOLD
PETRONAS MAYBANK VISA PLATINUM
MASTERCARD GOLD
SINGAPORE AIRLINES KRISFLYER
AMERICAN EXPRESS

CREDIT CARD
MAYBANK PLATINUMCARDS
VISA PLATINUM
MAYBANK VISA INFINITE
MASTERCARD PLATINUM
MAYBANK GOLD CARDS
Charge Card Kad Caj
AMERICANEXPRESS

CARD AMERICANEXPRESS

GOLDCARD
SINGAPORE AIRLINES KRISFLYER AMERICAN EXPRESS

GOLDCREDIT CARD
AMERICAN EXPRESS

MEMBERSHIP REWARDS GANJARAN KEAHLIAN AMERICAN EXPRESS

MAYBANK WORLDMASTERCARD MAYBANK WORLD MASTERCARD

MANCHESTER UNITEDVISA CARDPRIVACY NOTE NOTA PERIBADI KAD VISA MANCHESTER UNITED
Privacy Consent: By submitting this form you expresslyconsent that the Manchester United (MU) Group (being all companies with the MU name) and the other MU
Commercial Partners (as both may change over time) may share and use your personal information (a) to provide products and services you request, (b) for consumer
profiling and market research and (c) unless you tick the boxes below, to contact you by post, phone or electronically (incl. e-mail, text and digital TV) about MU related
products services, offers and events. Persetujuao Pr|as|. 0eoqao meoqemu|a|ao boraoq |o|, aoda meoyata|ao persetujuao uotu| Maocbester Jo|ted (MJ) Group (dao
semua syar||at deoqao oama MJ) dao ka|ao looqs| lomers|a| MJ (yaoq muoq||o berubab dar| semasa |e semasa) uotu| ber|ooqs| dao meoqquoa|ao ma||umat per|bad| aoda
(a) uotu| meoyed|a|ao produ| dao ser|s yaoq d|m|ota, (b) uotu| proj|| peoqquoa dao peoye||d||ao pasarao dao (c) me|a|o|ao aoda meoaoda |ota| ber||ut, uotu| meoqbubuoq|
aoda me|a|u| pos, te|ejoo atau secara e|e|troo|| (termasu| eme|, sms dao 1v d|q|ta|) berbubuoq produ|, ser|s, promos| dao acara yaoq ber|a|tao deoqao MJ.
Dont send me details of products, services, offers and events from Saya t|da| bersetuju uotu| meoer|ma sebaraoq ma||umat meoqeoa| produ|, ser|s, promos| dao acara dar|.
Please read our Privacy Policy which includes an updated list of MU Group companies and MU Commercial Partners at www.manutd.com or write to the MU DP
Officer at MU Ltd, Freepost, NWWA, Old Trafford, Manchester M BK, United Kingdom to get a written copy. S||a baca |esemua Po||s| Pr|as| |am| yaoq
meoqaoduoq| seoara| terbaru syar||atsyar||at MJ Group dao ka|ao looqs| lomers|a| MJ d| www.maoutd.com atau uotu| meodapat|ao sa||oao bertu||s |e Peqawa| MJ
0P d| MJ ltd, lreepost, NWW457A, O|d 1rajjord, Maocbester M6 8l, Jo|ted l|oqdom uotu| meodapat|ao sa||oao bertu||s.
MUGroup MJGroup MUCommercial Partners ka|ao looqs| lomers|a| MJ
Banking Ref kuju|ao lewaoqao
Name as in NRIC or Passport
Nama sepert| d| da|am lad Peoqeoa|ao atau Pasport.

City 8aodar
City 8aodar
Postcode Pos|od
Postcode Pos|od
State Neqer|
Annual Income Peodapatao1abuoao RM
Name Nama
Relationship ubuoqao
Residential Address A|amat led|amao



State Neqer|
House Tel. No. No. 1e|. kumab
HP No. 1e|. 8|mb|t
(Parents Immediate Family Members Not Living With You lbu 8apa / Ab|| |e|uarqa Yaoq 1|da| 1|oqqa| Serumab 0eoqao Aoda)
EMERGENCY CONTACT RUJUKAN KECEMASAN
PARTICULARS OF SPOUSE BUTIR-BUTIR PASANGAN
BILLING ADDRESS ANDCOLLECTING BRANCH ALAMAT SURAT-MENYURAT DAN CAWANGAN PENGAMBILAN KAD
Bill To 8|| le Home kumab Office Pejabat
(State the branch Nama|ao cawaoqao)
Please courier to my billing address S||a baotar |e a|amat suratmeoyurat saya
Note: Delivery of cards by courier is currently applicable to Peninsular
Malaysia, Sabah and Sarawak, except to P.O.Box addresses
Nota. Peoqbaotarao |ad me|a|u| |ur|er bo|eb d||a|u|ao uotu| Semeoaojuoq
Ma|ays|a, Sabab dao Sarawa|, me|a|o|ao a|amat pet| surat
Collection of Card(s) Peoqamb||ao lad
Collect at Maybank Card Centre KL Main, st Floor, Menara Maybank Peoqamb||ao d| Pusat lad Maybao| ll Ma|o, 1|oq|at , Meoara Maybao|
Collect at Maybank branch Peoqamb||ao d| cawaoqao Maybao| .
OTHER CREDIT CARDOR CHARGE CARDS KAD KREDIT ATAU KAD CAJ LAIN
Name and Address of Employer Nama dao A|amat Maj||ao
NRIC No. (New)
No. lP (8aru)
NRIC No. (Old)
No. lP (lama)
Passport No.
No. Pasport
Date of Birth
1ar||b lab|r
Office Tel. No. No. 1e|. Pejabat
Designation jawatao

APPLICANT ADDITIONAL INFORMATION MAKLUMAT TAMBAHAN PEMOHON
I We wish to apply for (please tick where applicable) Saya / lam| |oq|o memoboo (S||a taoda|ao yaoq maoa ber|eoaao). SUPPLEMENTARY CARDMEMBER INFORMATION MAKLUMAT AHLI KAD TAMBAHAN
a.
b.
Bank
Bank
Account No.
No. Akaun
Type of Account Facility
Jenis Akaun Kemudahan
Date Opened
Tarikh Dibuka
Bank
Bank
Card No.
No. Kad
Member Since
Ahli Sejak
Credit Limit
Had Kredit
Company Institusi Monthly Payment Ansuran Bulanan Remaining Tenure Baki Tempoh
View my statement on www.maybanku.com and e-mail. E-mail address l|bat Peoyata A|auo saya d| www.maybao|2u.com dao eme|.
Note: If you would like to view your statement via e-mail, please register your e-mail address on Maybanku.com Online Banking (Bills & Statements)
Nota. j||a aoda |oq|o me||bat Peoyata A|auo aoda me|a|u| eme|, s||a dajtar a|amat eme| aoda d| Perbao|ao Atas 1a||ao Maybao|2u.com (8|| & Peoyata)
I want my hardcopy statement to be mailed to me at RM per month Saya |oq|o Peoyata A|auo saya d|||r|m|ao pada |adar kM sebu|ao.
A|amat eme|.
MAYBANK MANCHESTER UNITED
VISA INFINITE
I would like to assign or RM
of my credit limit to my Supplementary Cardmember.
Saya |oq|o meoetap|ao atau kM
dar|pada bad |red|t saya uotu| Ab|| lad 1ambabao saya.
Credit Limit ad lred|t Monthly Bill 8|| 8u|aoao
Separate statement - Supplementary Cardmember will be sent ownstatement.
Peoyata beras|oqao Ab|| lad 1ambabao a|ao meoer|ma peoyataoya seod|r|.
Duplicate statement - Supplementary Cardmember will be sent own
statement and the copy sent to Principal Cardmember. Peoyata sa||oao
Ab|| lad 1ambabao a|ao meoer|ma peoyata seod|r| dao sa||oao d|baotar
|epada Ab|| lad Jtama.
Joint statement - Principal and Supplementary Card activities are combined
and sent to Principal Cardmember. Peoyata 8ersama A|t||t| lad Jtama
dao lad 1ambabao d|qabuoq|ao da|am satu peoyata dao d|baotar |epada
Ab|| lad Jtama.
My Supplementary Cardmember will share my credit limit.
Ab|| lad 1ambabao saya a|ao ber|ooqs| bad |red|t saya.
Note: Minima credit limit assigned should not be less than RM,. Total
combined credit limit cannot exceed the Principal Cardmembers approved
credit limit. Nota. ad |red|t m|o|ma yaoq d|tetap|ao t|da| bo|eb |uraoq
dar|pada kM,000. jum|ab qabuoqao bad |red|t t|da| bo|eb me|eb|b| bad |red|t
yaoq d||u|us|ao uotu| Ab|| lad Jtama.
This application formand all supporting documents that were submitted to the Bank shall be the sole property of the Bank and the Bank is entitled to retain the same irrespective
of whether my our application is approved or rejected by the Bank. 8oraoq permobooao |o| dao semua do|umeo so|ooqao yaoq te|ab d|serab|ao |epada p|ba| 8ao| ada|ab ba|
m|||| mut|a| p|ba| 8ao| dao p|ba| 8ao| berba| uotu| meoqe|a||ao semua do|umeo taopa meoq|ra samada permobooao saya / |am| d||u|us|ao atau d|to|a| o|eb p|ba| 8ao|.
I.
I We hereby undertake to informthe Bank if I we and my our guarantor(s) and my our immediate family members (parents, spouses and children) are related to any present
or future employee(s) of the Bank or the director(s) of the Bank. 0eoqao |o| saya / |am| meoqa|ujaoj| a|ao member|tabu p|ba| 8ao| j||a saya / |am| dao peojam|o saya / |am|
dao ab|| |e|uarqa terde|at saya / |am| (|bu bapa, suam|, |ster| dao aoa|aoa|) ber|a|t deoqao pe|erja 8ao| atau peoqarab 8ao| pada masa se|araoq atau pada masa depao.
G.
I We are not in default on any accounts with the Bank or other financial institutions or under any legal impediments. Saya / lam| t|da| qaqa| uotu| membuat pembayarao
terbadap maoamaoa a|auo 8ao| atau |ost|tus||ost|tus| |ewaoqao yaoq |a|o atau d| da|am maoamaoa urusao uodaoquodaoq.
H.
I We hereby declare that all the information given including but not limited to information fromany financings that I we have obtained or in the processing of obtaining from
any financial and non-financial institution is true, accurate and complete and I we have not witheld any material facts or information in relation thereto. If any information given
by me us herein becomes inaccurate or there are any material changes in anyway, whether before this application is approved or while this application of financing is outstanding,
I we hereby undertake to notify the Bank of such changes with immediate effect. I We hereby further declare that I we do not have any other financing fromfinancial or non
financial institutions other thanas declaredherein Saya / lam| deoqao|o| meoqesab|aobabawa semua ma||umat yaoq d|ber|, termasu| tetap| t|da| terbad |epada ma||umat dar|pada
maoamaoa pemb|ayaao yaoq saya / |am| te|ab pero|eb atau da|amproses uotu| meodapat|ao pemb|ayaao dar|pada maoamaoa |ost|tus| |ewaoqao dao bu|ao |ewaoqao ada|ab beoar,
tepat dao |eoq|ap, dao saya / |am| t|da| meoyembuoy||ao apaapa ja|ta mater|a| atau ma||umat berbubuoq deoqaooya. j||a apaapa ma||umat yaoq d|ber||ao o|eb saya / |am| da|am
do|umeo |o| meojad| t|da| tepat atau terdapat apaapa perubabao peot|oq deoqao cara apa jua, sama ada sebe|umpermobooao |o| d||u|us|ao atau |et||a permobooao pemb|ayaao |o|
be|um se|esa|, saya / |am| deoqao |o| meoqa|u jaoj| uotu| mema||um|ao p|ba| 8ao| teotaoq perubabao |tu deoqao sertamerta. Saya / lam| deoqao |o| meoq|syt|bar|ao se|aojutoya
babawa saya / |am| t|da| mempuoya| apaapa pemb|ayaao |a|o dar|pada |ost|tus| |ewaoqao atau bu|ao |ewaoqao |a|o se|a|o yaoq d||syt|bar|ao da|amdo|umeo |o|.
B.
I We authorise and consent to the Bank and its representative to obtain information pertaining to this application fromany source, including but not limited to credit information,
fromthe Inland Revenue Authorities, EPF, other financial institutions, Central Credit Reference Information System(CCRIS), SME Credit Bureau, any other credit reference agencies,
any other person, individual andor entity, as the Bank deems appropriate, without assigning any reason whatsoever. Saya / lam| member| |ebeoarao dao persetujuao |epada p|ba|
8ao| dao wa|||oya uotu| meodapat|ao ma||umat ber|a|tao deoqao permobooao |o| dar| maoamaoa sumber termasu| dao tetap| t|da| terbad |epada ma||umat |red|t dar| lembaqa as||
0a|amNeqer|, lWSP, |ost|tus||ost|tus| |ewaoqao yaoq |a|o, S|stemMa||umat lred|t Pusat (CCklS), lred|t 8|ro SMl, maoamaoa ejeo ruju|ao |red|t, |od||du dao/atau eot|t| yaoq d|aoqqap
bersesua|ao o|eb p|ba| 8ao|, taopa per|u meoyata|ao sebaraoq a|asao.
The Bank is expressly authorised to discuss with my our present and future employer(s) regarding this application.
P|ba| 8ao| d|ber| |uasa uotu| memb|ocaoq|ao permobooao |o| bersama maj||ao semasa dao maj||ao masa depao saya / |am|.
C.
I We shall comply with the Bank's requirements in respect of my our application and I we understand that the Bank's offer of the financing shall be subject to the Bank
performing the necessary verification. Saya / lam| a|ao mematub| seqa|a |eper|uao p|ba| 8ao| uotu| permobooao saya / |am| dao saya / |am| memabam| babawa tawarao
pemb|ayaao o|eb p|ba| 8ao| ada|ab terta||u| |epada peoqesabao yaoq d|per|u|ao o|eb p|ba| 8ao|.
D.
I Weexpressly consent toandauthorisetheBank todisclosetoBank Negara Malaysia, any other bodies, authorities suchas CAGAMASanddebt collectionagents, any person(s) inor outside
Malaysia includingbut not limitedtocompanies withinthe groupof the Bank, whether suchgroupof companies are residing, situated, carryingonbusiness, incorporatedor constitutedwithin
or outside Malaysia, including but not limited to the respective agents, authorised and appointed outsourcing agents for purpose of providing integrated services, maintaining and storing
records (financial or otherwise), at any timeandwithout liability, any informationandparticulars (financial or otherwise) relatingtomy our affairs andaccounts, financingandconduct thereof
for such purposes as the Bank deems fit or appropriate. Saya / lam| member| |ebeoarao dao member| |uasa |epada p|ba| 8ao| uotu| meodedab|ao apaapa ma||umat dao but|rao (|ewaoqao
atau|a|o|a|o) yaoqber|a|taodeoqaourusaodaoa|auosaya/ |am|, pemb|ayaaodaopeoqeoda||ao|epada8ao|NeqaraMa|ays|a, badaobadao|a|o, p|ba|ber|uasasepert| CAGAMAS, ejeopemuoqut
butaoq, maoamaoa |od||du d| da|amatau d| |uar Ma|ays|a termasu| tetap| t|da| terbad |epada syar||atsyar||at da|am|umpu|ao 8ao|, sama ada |umpu|ao syar||at tersebut meoetap, meoja|ao|ao
pero|aqaao, d|perbadao|ao atau d|tubub|ao d| da|amatau d| |uar Ma|ays|a, termasu| tetap| t|da| terbad |epada ejeoejeo terteotu, ejeo |b|dmat |uarao yaoq d|ber| |uasa dao d||aot|| deoqao tujuao
meoyed|a|aoper|b|dmataobersepadu, meme||bara daomeoy|mpaore|odre|od (|ewaoqaoatau|a|o|a|o) pada masa terteotudaotaopa ||ab|||t| baq| tujuaoyaoq d|aoqqap sesua| o|ebp|ba| 8ao|.
E.
I We hereby agree and consent for the Bank to request for and to obtain all the personal information and data set forth in this form for the purpose of processing this
application and also for all other purposes that are necessary and required in relation to the facility requested by me us herein including the transfer or disclosing of such
personal data to any of our agents, authorised and appointed outsourcing agents, subsidiaries in or outside Malaysia for the purpose of processing the personal information
and data required by the Bank and also for purposes of storage by such agents or subsidiaries. I We also declare that all personal information and data set forth herein are all
true, up-to-date and accurate and should there be any changes to any personal information or data set forth herein, I we shall undertake to notify the Bank immediately.
Saya / lam| deoqao |o| bersetuju dao membeoar|ao p|ba| 8ao| uotu| mem|ota dao meodapat|ao semua ma||umat dao data per|bad| yaoq d|oyata|ao da|am boraoq |o| baq|
tujuao memproses permobooao |o| dao juqa uotu| semua tujuao |a|o yaoq d|per|u|ao dao d||ebeoda|| berbubuoq deoqao |emudabao yaoq d|m|ota o|eb saya / |am| da|am boraoq
|o| termasu| mem|odab|ao atau meodedab|ao data per|bad| tersebut |epada maoamaoa ejeo |am|, ejeo |b|dmat |uarao yaoq d|ber| |uasa dao d||aot||, aoa| syar||at d| da|am
atau d| |uar Ma|ays|a baq| tujuao memproses ma||umat dao data per|bad| yaoq d||ebeoda|| o|eb p|ba| 8ao| dao juqa uotu| tujuao peoy|mpaoao o|eb ejeo dao aoa| syar||at
tersebut. Saya / lam| juqa meoq|syt|bar|ao babawa semua ma||umat dao data per|bad| yaoq d|oyata|ao da|am boraoq |o| ada|ab beoar, ter||o| dao tepat dao se||raoya terdapat
apaapa perubabao |epada apaapa ma||umat atau data per|bad| yaoq d|oyata|ao da|am boraoq |o|, saya / |am| berjaoj| uotu| member|tabu p|ba| 8ao| deoqao seqera.
F.
K.
I We understand that the Bank reserves the absolute right to approve or decline this application as the Bank deems fit without assigning any reason. Saya / lam| jabam
babawa p|ba| 8ao| mempuoya| ba| mut|a| uotu| me|u|us|ao atau meoo|a| permobooao taopa meoyata|ao sebaraoq a|asao.
J.
I We agree to be bound by the Banks rules from time to time governing the relevant type of account and financing and that the Bank is entitled to be indemnified in
circumstances set out in such rules. Saya / lam| bersetuju uotu| ter||at |epada peraturaoperaturao 8ao| dar| masa |e semasa yaoq ber|a|tao deoqao jeo|s a|auo dao
pemb|ayaao dao p|ba| 8ao| berba| uotu| d|bayar qaot| ruq| da|am |eadaao yaoq tertera d| da|am syaratsyarat tersebut.
The Bank refers to Malayan Banking Berhad or Maybank Islamic Berhad (as the case may be), being the licensed financial institution offering the financing product(s) referred
to in this application form. 8ao| ada|ab meruju| |epada Ma|ayao 8ao||oq 8erbad atau Maybao| ls|am|c 8erbad (sepert| yaoq d|oyata|ao), sebaqa| |ost|tus| |ewaoqao yaoq
d||eseo|ao uotu| meoawar|ao produ|produ| pemb|ayaao yaoq d|ruju| da|am boraoq permobooao |o|.
L.
For your convenience, a Short Message System(SMS) will be sent to your mobile number as stated in this formshould your financing application be approved by the Bank.
Jotu| |emudabao aoda, S|stem Pesaoao k|oq|as (SMS) a|ao d|baotar |e te|ejoo mudab a||b aoda meoq||ut oombor yaoq d|oyata|ao d| da|am boraoq permobooao |o| se||raoya
permobooao pemb|ayaao aoda d||u|us|ao o|eb p|ba| 8ao|.
M.
I We confirmthat I we shall read the terms and conditions of the Malayan Banking Berhad Credit Cardholder Agreement which have been displayed on the Malayan Banking Berhads
Maybanku.comwebsite and agree to be bound by themand all future amendments thereto before accepting and receiving the card(s). In the event I we require a hard copy of the said
Malayan Banking Berhad Credit Cardholder Agreement, I we may request for a copy of the same fromthe Bank. I We further agree that the Principal Cardmember shall be responsible for
all liabilities and obligations of the Principal Cardmember as well as those of the Supplementary Cardmember(s). The Supplementary Cardmember however, shall only be responsible for his
her own liabilities and obligations. The Bank shall reserve the absolute right to approve or reject my our application as the Bank deems fit without assigning any reason. I We understand
the card(s) remain the property of Malayan Banking Berhad and shall be subject to cancellation without notice and would be returned upon request. Saya / lam| meoqesab|ao babawa saya
/ |am| a|aomembacasyarat daoperaturaoPerjaoj|aoPemeqaoqladMa|ayao8ao||oq8erbadyaoqte|abd|oyata|aod| |amaowebMaybao|2u.comMa|ayao8ao||oq8erbaddaobersetujuuotu|
mematub|oya dao seqa|a p|odaao a|ao dataoq sebe|ummeoer|ma dao meoqamb|| |ad (|ad|ad). Se||raoya saya / |am| memer|u|ao sa||oao Perjaoj|ao Pemeqaoq lad Ma|ayao 8ao||oq 8erbad
tersebut, saya / |am| bo|eb mem|ota sa||oao tersebut dar|pada p|ba| 8ao|. Saya / lam| seterusoya bersetuju babawa Pemeqaoq lad Jtama beoda||ab bertaoqquoqjawab terbadap semua ||ab|||t|
dao ob||qas| Pemeqaoq lad Jtama serta Pemeqaoq (pemeqaoqpemeqaoq) lad 1ambabao. Wa|au baqa|maoapuo, Pemeqaoq lad 1ambabao a|ao baoya bertaoqquoqjawab terbadap ||ab|||t| dao
ob||qas|oya seod|r|. 8ao| mempuoya| ba| mut|a| uotu| me|u|us|ao atau meoo|a| permobooao saya / |am| sewajaroya taopa member||ao apaapa sebab. Saya / lam| jabambabawa |ad tersebut
mas|b ba|m|||| Ma|ayao 8ao||oq 8erbad dao a|ao terta||u| |epada pembata|ao taopa pember|tabuao awa| dao per|u d||emba|||ao atas perm|otaao.
N.
Yes Ya No 1|da|
I We hereby expressively consent and authorise the Bank to disclose any information that I have provided disclosed to the Bank for the purpose of cross selling, marketing
promotions with other companies within Maybank Group, its agent (including but not limited to any authorities, merchants and any member of ie Visa International MasterCard
AmericanExpress

), servants andor suchpersons of third parties as the Bank may deemfit. Saya / lam| meoqesab|ao babawa saya / |am| member| |ebeoarao dao |uasa |epada P|ba|
8ao| yaoq t|da| bo|eb d|bata| taopa |ebeoarao uotu| meodedab|ao sebaraoq ma||umat yaoq te|ab saya |emu|a|ao |epada 8ao| baq| tujuao jua|ao s||aoq ('cross se|||oq'), pemasarao dao
promos| deoqao syar||atsyar||at da|am lumpu|ao Maybao| 8erbad, ejeo (termasu| tetap| t|da| terbad |epada maoamaoa p|ba| ber|uasa, bao|bao| saudaqar dao maoamaoa ab||
lost|tus| sepert| v|sa loteroat|ooa| / MasterCard / Amer|cao lxpress

), pe|erjape|erjaoya dao/atau maoamaoa |od||du atau p|ba| |et|qa yaoq d|j|||r|ao o|eb 8ao| ada|ab wajar.
At any time in future, if I wish to have my name and address removed from such mailing list, I am required to write to the Bank at Maybank Card Centre, th Floor, Menara
Maybank, Jalan Tun Perak, Kuala Lumpur. Pada b||ab||a masa a|ao dataoq, se||raoya saya |oq|o meoqe|uar|ao oama dao a|amat saya dar| seoara| peoqeposao
tersebut, saya per|u meou||s |epada 8ao| d| Maybao| Card Ceotre, 7tb l|oor, Meoara Maybao|, 00 ja|ao 1uo Pera|, 50050 lua|a lumpur.
Please tick where applicable in relation to the above provision. S||a taoda pada yaoq ber|eoaao berbubuoq terma yaoq d|oyata|ao d| atas.
O.
YES, I would like the convenience of the Maybank Touch n Go Zing and
please link to YA, saya |oq|o meodapat|ao |emudabao Maybao| 1oucb o Go
Z|oq dao s||a bubuoq|ao |e.
SONY CARDVISA
VISAGOLD PLATINUM
PETRONAS MAYBANK VISA
MASTERCARDGOLD PLATINUM
AMERICANEXPRESS

CARD
SINGAPORE AIRLINES KRISFLYER
AMERICANEXPRESS

GOLDCREDIT CARD
MAYBANKMANCHESTERUNITEDVISACARD
MAYBANK CARDS
MAYBANK WORLDMASTERCARD
MAYBANK VISAINFINITE
Principal
Jtama
Supplementary
1ambabao
I agree to abide by the terms and conditions of the Touch n Go Zing Card (hereinafter
referred to as the Card) and any other terms and conditions imposed by Rangkaian
Segar Sdn. Bhd. (hereinafter referred to as RSSB) from time to time for the Card
facilities. I understand that the Card remains the property of RSSB and must be
returned to RSSB upon request. By signing andor using the Card I agree to be bound
by the terms and conditions imposed by the Card and other variations or amendments
thereof. I hereby confirm that the Card has an automatic reload amount of RM,
and irrevocably authorise Malayan Banking Berhad to debit my Maybank Credit Card
Account for each reload and the automatic reload fee of RM whenever the account
balance drops to RM. In the event that I wish to cancel my Maybank Touch n Go
Zing, There will be a charge of refund processing fee of RM and RM for new card
replacement. Saya bersetuju uotu| terta||u| |epada seqa|a terma dao syarat yaoq te|ab
d|tetap|ao o|eb lad 1oucb o Go Z|oq (|emud|ao dar| |o| d|ruju| sebaqa| lad) serta
|a|o|a|o terma dao syarat yaoq te|ab d|tetap|ao o|eb kaoq|a|ao Seqar Sdo. 8bd.
(|emud|ao dar| |o| d|ruju| sebaqa| kSS8) dar| semasa |e semasa uotu| |emudabao lad
|o|. Saya jabam babawa |ad |o| ada|ab m|||| kSS8 dao mest| d||emba|||ao |epada kSS8
apab||a d||ebeoda||. 0eoqao meoaodataoqao| dao/atau meoqquoa|ao lad |o|, saya
bersetuju uotu| terta||u| |epada terma dao syarat lad |o| termasu| p|odaao |epada
terma dao syarat tersebut. Saya meoqesab|ao permobooao saya uotu| lad |o| deoqao
peoambabao automat|| bero||a| kM00, dao member| |uasa |epada Ma|ayao 8ao||oq
8erbad uotu| meodeb|t A|auo lad lred|t Maybao| saya uotu| set|ap peoambabao dao
yurao tambabao o||a| automat|| sebaoya| kM2 apab||a ba|| a|auo meouruo seb|oqqa
kM50. Se||raoya saya membata||ao |ad Maybao| 1oucb o Go Z|oq saya, yurao
pemprosesao bayarao ba||| sebaoya| kM5 a|ao d||eoa|ao, maoa|a|a yurao kM0 a|ao
d||eoa|ao uotu| meodapat|ao |ad qaot|ao baru.
Note: Free subscription fee for PETRONAS Maybank Visa and Maybank Manchester
United Visa Card only. Nota. Yurao |aoqqaoao percuma uotu| Pl1kONAS Maybao| v|sa
dao lad Maybao| Maocbester Jo|ted v|sa sabaja.
I We hereby declare that all the information given by me us is true and I we have not withheld any material fact. If any of the information given by me us becomes
inaccurate or misleading or changes in anyway, whether before this application is approved or whilst the financing is outstanding, I we shall promptly notify the Bank of such
changes. Saya / lam| meoqa|u babawa semua ma||umat yaoq d|ber||ao o|eb saya / |am| ada|ab beoar dao saya / |am| t|da| meoyembuoy||ao apaapa ma||umat. j||a ada
maoamaoa ma||umat yaoq d|ber||ao o|eb saya / |am| ada|ab t|da| tepat atau meoqe||ru|ao atau berubabubab, samada sebe|um permobooao |o| d||u|us|ao ataupuo mas|b
da|am pert|mbaoqao, saya / |am| a|ao mema||um|ao meoqeoa| perubabao ma||umat tersebut |epada p|ba| 8ao| deoqao seqera.
A.
Yes, I wish to enrol for the CreditCare Plan for just RM. a month for every RM of my outstanding Credit Card balance that provides coverage in the event of death or total
permanent disability. I declare that I amabove and under years of age. A Certificate of Assurance which details the Terms and Conditions will be sent to me upon my enrolment.
If I amnot completely satisfied with the Terms and Conditions of the Policy, I can cancel my coverage fromits inception by informing Maybank within fifteen () days fromthe date of
Certificate delivered to me. Ya, saya |oq|o memoboo uotu| meoyerta| Pe|ao Cred|tCare deoqao baoya kM0.28 sebu|ao uotu| set|ap kM00 dar| ba|| tertuoqqa| se||raoya ber|a|u
|emat|ao atau |ecacatao |ese|urubao |e|a|. Saya meoqa|u babawa saya berus|a 20 tabuo |e atas dao d| bawab umur 6 tabuo. S|j|| losuraos bersamasama 1erma dao Syarat terper|oc|
a|ao d|baotar sete|ab permobooao saya d|ter|ma. Se||raoya saya t|da| berpuas bat| deoqao 1erma dao Syarat Po||s| |o|, saya bo|eb membata||aooya deoqao member| oot|s |epada p|ba|
Maybao| da|am masa ||ma be|as (5) bar| dar| tar||b S|j|| ber|eoaao d|baotar |epada saya.
This Plan is underwritten by Etiqa Insurance Berhad (-T), a subsidiary of Malayan Banking Berhad (-K). Etiqa Insurance Berhad is licensed under the Insurance Act and
regulated by Bank Negara Malaysia. Etiqa Insurance Berhad is located on Level , Tower C, Dataran Maybank, No. Jalan Maarof, Kuala Lumpur. This Plan is distributed by
Malayan Banking Berhad (-K) and is located at Menara Maybank, , Jalan Tun Perak, Kuala Lumpur. Pe|ao |o| d|taja jam|o o|eb lt|qa losuraoce 8erbad (95571), sebuab
aoa| syar||at Ma|ayao 8ao||oq 8erbad (383l). lt|qa losuraoce 8erbad d|per|eseo|ao d| bawab A|ta losuraos 996 dao d||awa| se||a o|eb 8ao| Neqara Ma|ays|a. lt|qa losuraoce 8erbad
ter|eta| d| lee| 9, 1ower C, 0atarao Maybao|, No. ja|ao Maaroj, 59000 lua|a lumpur. Pe|ao |o| d|edar|ao o|eb Ma|ayao 8ao||oq 8erbad (383l) dao ter|eta| d| Meoara Maybao|, 00,
ja|ao 1uo Pera|, 50050 lua|a lumpur.
Name Nama Department jabatao
I confirm that none of my spouse(s), parents, children andor siblings are employees of Malayan Banking Berhad or Malayan Banking Group.
Saya meoqesab|ao babawa t|ada pasaoqao, |bu bapa, aoa|aoa| dao/atau ad||berad|| saya yaoq be|erja deoqao Ma|ayao 8ao||oq 8erbad atau lumpu|ao Ma|ayao 8ao||oq.
I confirm that my spouse(s), parents, children andor siblings are employees of Malayan Banking Berhad or Malayan Banking Group.
Saya meoqesab|ao babawa ada pasaoqao, |bu bapa, aoa|aoa| dao/atau ad||berad|| saya yaoq be|erja deoqao Ma|ayao 8ao||oq 8erbad atau lumpu|ao Ma|ayao 8ao||oq.
Please Tick S||a 1aoda|ao

MAYBANK TOUCH 'N GO ZING INFORMATION MAKLUMAT MAYBANK TOUCH 'N GO ZING
CREDITCARE TAKAFUL PLAN PELAN CREDITCARE TAKAFUL
OTHER DETAILS LAIN- LAIN MAKLUMAT
DECLARATION PENGAKUAN
MAYBANK MANCHESTER UNITED
VISAINFINITE
FOR OFFICL USL / UNTUk kLGUNAAN PLjA8AT
Name / Nama lL / CSL / kB / LSL / 1SL
Pl No. / No. Pl
Branch / Cawaoqao
Branch Code / lod Cawaoqao
1el. No. / No. 1e|.
lax No. / No. la|s
Introduced by / lperkenalkan oleb (Lead GeneraLor)
Pl No. / No. Pl
Branch / Cawaoqao
Branch Code / lod Cawaoqao
1el. No. / No. 1e|.
lax No. / No. la|s
G. Converslon Ior Overseas 1ransactlons / Tukaran baql Urus Nlaqa Luar Neqara
1ransacLlons conducLed ouLslde Malaysla wlll be converLed Lo klngglL Malaysla on Lhe daLe Lhe LransacLlon ls recelved and/or processed. 1he exchange raLe may dler
rom Lhe raLe charged on Lhe daLe o LransacLlon due Lo markeL lucLuaLlon. Lxchange raLe wlll be based on Lhe raLe deLermlned by vlsa lnLernaLlonal, MasLerCard
lnLernaLlonal or ^merlcan Lxpress

aL such Llme. / Jrus o|aqa yaoq d||a|u|ao d| |uar Ma|ays|a a|ao d|tu|ar |epada k|oqq|t Ma|ays|a pada tar||b but|rao d|ter|ma dao/atau
d|proses. ladar peou|arao muoq||o berbeza dar|pada |adar bar|ao urus o|aqa |eraoa turuo oa|| pasarao. ladar tu|arao ada|ab berdasar|ao |adar yaoq d|teotu|ao o|eb v|sa
loteroat|ooa|, MasterCard loteroat|ooa| atau Amer|cao lxpress

pada wa|tu tersebut.

Amerlcan Lxpress

Cards / kad Amerlcan Lxpress

^ll orelgn charges converLed by ^merlcan Lxpress

apply a converslon acLor o 2.S%Lo Lhe converLed amounL. ^ charge LhaL ls made ln orelgn currency oLher Lhan
U.S. Lollars wlll, when Lhe converslon ls done by ^merlcan Lxpress

, be converLed lnLo U.S. Lollars beore belng converLed lnLo your bllllng currency. / 8aq| caj as|oq
yaoq d|tu|ar|ao o|eb Amer|cao lxpress

, ja|tor peou|arao sebaoya| 2.5 a|ao d||eoa|ao |e atas amauo yaoq d|tu|ar|ao. Caj yaoq d||a|u|ao d| da|am matawaoq as|oq
se|a|o dar|pada 0o|ar Amer||a a|ao ter|eb|b dabu|u d|tu|ar|ao |epada 0o|ar Amer||a sebe|um |aoya d|tu|ar|ao |epada k|oqq|t Ma|ays|a.
C. Late Payment Charge / Caj 8ayaran Lewat
Credlt Card / kad kredlt
l Lhe MlNlM^ P^YMLN1 ls noL made by Lhe P^YMLN1 LUL L^1L, a LaLe PaymenL lee wlll be levled aL !%o Lhe unpald ouLsLandlng balance, sub|ecL Lo a mlnlma o
kM!0.00 only and Lo a maxlmumo kM/S.00 only. / j||a PlM8AYAkAN 8Alll MlNlMA t|da| d|buat pada 1AkllMA1ANG, Caj 8ayarao lewat dar|pada jum|ab ba||
be|umje|as a|ao d||eoa|ao, terta||u| pada caj m|o|ma kM0.00 seb|oqqa tabap ma|s|ma sebaoya| kM75.00 sabaja.
Charge Card / kad Caj
l Lhe ouLsLandlng balance shown ln your monLhly sLaLemenL ls noL seLLled ln ull by Lhe paymenL due daLe, a laLe paymenL charge o 3.S% o Lhe ouLsLandlng
repaymenL due or kMS0 (whlchever ls hlgher) wlll be levled Lo your Card ^ccounL. / j||a ba|| tertuoqqa| sepert| d|tuoju||ao pada peoyata aoda t|da| d|je|as|ao
sepeouboya sebe|um atau pada tar||b a|b|r pembayarao, caj bayarao |ewat a|ao d||eoa|ao pada |adar 3.5 dar|pada jum|ab ba|| tertuoqqa| t|da| berbayar atau
kM50 (yaoq maoa |eb|b t|oqq|).
L. Mlnlma Month|y Payment / 8ayaran 8ulanan Mlnlma
S%o Lhe ouLsLandlng balance or a mlnlma o kM2S paymenL. / 5dar|pada ba|| be|umje|as atau m|o|ma kM25.
F. Lost and Sto|en Card Rep|acement / Gantlan untuk kad Hllanq atau lcurl
kMS0 or every losL and sLolen Card replacemenL. / kM50 uotu| set|ap lad b||aoq atau d|cur|.
H. Servlce 1ax / Cukal Perkbldmatan (For A|| Card / Untuk 5emua kad)
1he annual kMS0 and kM2S Servlce 1ax wlll be lmposed on each Prlnclpal and SupplemenLary Card respecLlvely and wlll be charged Lo your card accounL on card open
daLe and subsequenL card annlversary daLe LhereaLer. Cardmembers also have an opLlon Lo redeem Lhe servlce Lax uslng Lhe accumulaLed polnLs as below. / Cu|a|
per|b|dmatao tabuoao sebaoya| kM50 baq| lad Jtama dao kM25 baq| lad 1ambabao a|ao d||eoa|ao |e atas a|auoa|auo ber|eoaao pada ta||rb pembu|aao |ad dao
tar||b u|aoq tabuo |ad ber||utoya. Ab|| |ad juqa mempuoya| p|||bao uotu| meoebus cu|a| per|b|dmatao |o| deoqao meoqquoa|ao jum|ab mata qaojarao yaoq sed|a
ter|umpu| sepert| ber||ut.
D. Cash Wlthdrawa| Charges / Caj Penqeluaran Tunal
^ oneLlme ee o S%or a mlnlma o kM!0 wlll be levled on Lhe amounL wlLhdrawn whlchever ls hlgher. llnance Charge ls calculaLed rom Lhe day o wlLhdrawal unLll
ull paymenL. / Caj peoqe|uarao tuoa| sebaoya| 5 atau m|o|ma kM0 a|ao d||eoa|ao meoq||ut amauo yaoq |eb|b t|oqq| |e atas jum|ab yaoq d||e|uar|ao. Caj |ewaoqao a|ao
d||eoa|ao dao d|||ra dar| tar||b traosa|s| peoqe|uarao d||a|u|ao seb|oqqa tar||b pembayarao peoub d|buat.
MLM8LRSHIP FLLS ANDCHARGLS / YURAN AN CAj kLAHLIAN
SlgnaLure o Prlnclpal ^ppllcanL /
1aodataoqao Pemoboo lad Jtama
Name / Nama
LaLe / 1ar||b
Name / Nama
LaLe / 1ar||b
1he Bank has lnormed me and l ully undersLand LhaL ln accordance wlLh prevalllng Bank Negara Malaysla Guldellnes, l my annual lncome ls kM36,000 or less, l can only hold credlL
card as a Prlnclpal Cardholder roma maxlmumo Lwo (2) credlL cards lssuers (lssuers) eecLlve ! january 20!2 (MaxlmumIssuer Restrlctlon). / P|ba| 8ao| te|ab member|tabu saya
dao saya meoqesab|ao |esedarao meoqeoa| peraturao yaoq d|tetap|ao meoq||ut Paoduao 8ao| Neqara Ma|ays|a, babawa mu|a| jaouar| 202 (Had Penqeluaran Makslma), se||raoya
peodapatao saya t|da| me|eb|b| kM36,000setabuo, saya baoya d|beoar|ao uotu| meojad| Pemeqaoq Jtama |ad |red|t |epada ma|s|mumoya dua (2) peoqe|uar |ad |red|t (peoqe|uar |ad) sabaja.
P.
Upon Lhe lssuance by Lhe Bank o Lhe credlL card(s) applled or under Lhls appllcaLlon, l declare LhaL so long as Lhe MaxlmumIssuer Restrlctlon applles Lo me. /
Saya meoqa|u| dao meoqesab|ao |ewujudao Had Penqeluaran Makslma se||raoya permobooao |red|t |ad saya a|ao d||e|uar|ao o|eb p|ba| 8ao| meoq||ut permobooao saya.
(!) l wlll be holdlng credlL cards roma maxlmumo Lwo (2) lssuers (lncludlng Lhe Bank as an lssuer). buL
(2) ln Lhe evenL LhaL l hold credlL cards rommore Lhan Lwo (2) lssuers (lncludlng Lhe Bank as an lssuer), l underLake Lo ensure LhaL l wlll comply wlLh Lhe Maxlmumlssuer
kesLrlcLlon eecLlve ! january 20!2. /
() Saya baoya a|ao mem||||| |ad |red|t dar|pada ma|s|maoya dua (2) Peoqe|uar lad sabaja (termasu||ab p|ba| 8ao| yaoq meoqe|uar|ao |ad tersebut). tetap|
(2) j||a saya mem||||| |ad |red|t |eb|b dar|apda dua (2) Peoqe|uar lad (termasu| p|ba| 8ao| yaoq meoqe|uar|ao |ad tersebut), saya jam|o a|ao mematub| ad Peoqe|uarao Ma|s|ma
yaoq a|ao bert|oda| pada jaouar| 202.
l hereby declare LhaL l am holdlng cards rom (sLaLe number) lssuers. /
(s||a ber||ao b||aoqao) Peoqe|uar lad. Saya meoqa|u| babawa saya mem||||| |ad dar|pada
A. Membershlp Fees / Yuran keabllan
l. llnance Charge ls lmposed on Lhe OuLsLandlng keLall 1ransacLlon balance LhaL ls noL pald aLer Lhe PaymenL Lue LaLe.
1he llnance Charge wlll be calculaLed rom Lhe day Lhe LransacLlons were posLed unLll ull paymenL.
ll. Cash Wlthdrawa| !8%p.a. or !.S%p.m. o Lhe cash wlLhdrawal amounL calculaLed on a dally basls.
lll. 8a|ance 1ransIer
6 months P|an: 6%p.a. or 0.S%p.m. or Lhe lrsL monLhs or mlnlma Lranser amounL o kM!,000.
9 months P|an: 9%p.a. or 0./S%p.m. or Lhe lrsL 9 monLhs or mlnlma Lranser amounL o kM!,000.
J2 months P|an: 0%p.m. or Lhe lrsL !2 monLhs or mlnlma Lranser amounL o kM!,000.
24 months P|an: 4.S%p.a. or 0.3/S%p.m. or 24 monLhs or mlnlma Lranser amounL o kM2,000.
36 months P|an: 4.9S%p.a. or 0.4!3%p.m. or 36 monLhs or mlnlma Lranser amounL o kM2,000.
^cLual ManagemenL Charge on Lhe subsequenL monLhs or Lhe above plans are up Lo !/.S%p.a. o Lhe balance amounL Lranserred calculaLed on a dally basls.
One Llme upronL ee o 3%
|. Caj Peoqurusao 8u|aoao Sebeoar d||eoa|ao |e atas jum|ab Jrus o|aqa Pembe||ao kuoc|t t|da| d|bayar se|epas 1ar||b A|b|r Pembayarao. Peoq|raao Caj
Peoqurusao 8u|aoao Sebeoar bermu|a dar| tar||b urus o|aqa d|pos|ao |e da|am a|auo |ad seb|oqqa pembayarao peoub.
||. Caj Peoqurusao Peoqe|uarao 1uoa| Sebeoar 8setabuo atau .5sebu|ao baq| jum|ab peoqe|uarao waoq tuoa| yaoq d|||ra atas dasar bar|ao.
|||. Pemlndahan 8akl
Pelan 6 bulan: 6setabuo atau 0.5sebu|ao uotu| bu|ao pertama baq| jum|ab pem|odabao m|o|ma kM,000.
Pelan 9 bulan: 9setabuo atau 0.75sebu|ao uotu| 9 bu|ao pertama baq| jum|ab pem|odabao m|o|ma kM,000.
Pelan I2 bulan: 0sebu|ao uotu| 2 bu|ao pertama baq| jum|ab pem|odabao m|o|ma kM,000.
Pelan 24 bulan: 4.5setabuo atau 0.375sebu|ao uotu| 24 bu|ao baq| jum|ab pem|odabao m|o|ma kM2,000.
Pelan 36 bulan: 4.95setabuo atau 0.43sebu|ao uotu| 36 bu|ao baq| jum|ab pem|odabao m|o|ma kM2,000.
Caj Peoqurusao 8u|aoao Sebeoar uotu| bu|aobu|ao seterusoya baq| pe|aope|ao d| atas ada|ab seb|oqqa 7.5setabuo baq| ba|| jum|ab yaoq d|p|odab|ao,
d|||ra atas dasar bar|ao.
Se|a|| caj peodabu|uao 3
8. Flnance Charges / Caj kewanqan
8 I
CRLDI1 CARD/ kADkRLDI1
SONY CARDVISA / MANCHLS1LR UNI1LDVISA CARD/
PL1RONAS MAY8ANk VISA GOLD/ PLA1INUM
FRLL / PLRCUMA
FRLL / PLRCUMA
FRLL / PLRCUMA
SINGAPORL AIRLINLS kRISFLYLR
AMLRICAN LXPRLSS

GOLDCRLDI1 CARD
Prlnclpa| RM25U / Utama RM250
Supp|ementary RMJ25 / Tambaban RMI25
!sL year walver / Peoqecua||ao j| tabuoao pertama
!sL year walver / Peoqecua||ao j| tabuoao pertama
CHARGL CARD/ kA CAj
AMLRICAN LXPRLSS

CARD LleLlme lee Walver / Percuma

AMLRICAN LXPRLSS

GOLDCARD RM238 SupplemenLary Card kM!2S per year (3 years eewalver)

AMLRICAN LXPRLSS

GOLDCRLDI1 CARD/
MAY8ANk 2 CARDS
Annua| Fees / Yuran Tabunan Card 1ype / jenls kad
VISA / MAS1LRCARDGOLD
Prlnclpa| RMJ3U / Utama RMI30
Supp|ementary RM65 / Tambaban RM65
VISA / MAS1LRCARDPLA1INUM
Prlnclpa| RM55U / Utama RM550
Supp|ementary RMJ5U / Tambaban RMI50
AMLRICAN LXPRLSS

PLA1INUM CRLDI1 CARD

Prlnclpa| RM8UU / Utama RM800
Supp|ementary RM55U / Tambaban RM550
!sL year walver / Peoqecua||ao j| tabuoao pertama
lree or lrsL 2 SupplemenLary Card /
Percuma uotu| 2 lad 1ambabao pertama ao)
(WlLhouL M^S ^lrllne Golden Lounge ^ccess /
taopa A|ses |e MAS Go|deo louoqe)
LleLlme lee Walver / Percuma
llrsL our (4) supplemenLary only / Seb|oqqa empat (4) |ad
tambabao sabaja
PrlorlLy Pass ^lrporL Lounge Card /
lad Pr|or|ty Pass louoqe lapaoqao 1erbaoq
lkLL or Lhe lrsL year, subsequenL years lkLL l spend a mlnlma
o kMS0,000 per annum/ PlkCJMAtabuo pertama, peoep|ao
j| tabuoao d|ber||ao pada tabuo ber||utoya apab||a berbe|aoja
sebaoya| kM50,000 setabuo
LleLlme lee Walver / Percuma
llrsL our (4) supplemenLary only / Seb|oqqa empat (4) |ad
tambabao sabaja
PrlorlLy Pass ^lrporL Lounge Card / lad Pr|or|ty Pass louoqe
lapaoqao 1erbaoq
S Llmes compllmenLary access / 5 |a|| a|ses percuma
MAY8ANk WORLDMAS1LRCARD
Prlnclpa| RMJ,UUU / Utama RMI,000
Supp|ementary RMJ25 / Tambaban RMI25
MAY8ANk VISA INFINI1L /
MAY8ANk MANCHLS1LR UNI1LDVISA INFINI1L
Prlnclpa| RM8UU / Utama RM800
Supp|ementary RMJ25 / Tambaban RMI25
Condltlons / 5yarat
Payments Months / 8ayaran 8allk 8ulanan
1ota| J2 Months / 5elama I2 8ulan
Flnance Rate / kadar kewanqan
Per Month / 8ulanan Per Annum/ Tabunan
For prompt Repayment oI J2 / J2 months / 8ayaran ballk seqera I2 / I2 8ulan
For prompt Repayment oI JU / J2 months / 8ayaran ballk seqera I0 / I2 8ulan
For prompt Repayment oI |ess than JU / J2 months /
8ayaran ballk seqera kuranq darlpada I0 / I2 8ulan
J.25%
J.42%
J.5%
J5%
JI%
J8%
U.I5% 9%
For prompt Repayment oI J2 / J2 months (For Amerlcan Lxpress

Go|d Credlt Card on|y) /

8ayaran ballk seqera I2 / I2 8ulan (Untuk kad kredlt Lmas Amerlcan Lxpress

)
U.I4% 8.88%
For prompt repayment oI J2 / J2 months and newcard (For Maybank 2 Cards on|y) /
8ayaran ballk seqera I2 / I2 8ulan dan kad baru (Untuk kad Maybank 2 sabaja)
Prlnclpa| Card / kad Utama
Maybank 2 Cards
1reatsPolnts
Servlce 1ax (per Card) /
Cukal Perkbldmatan (per kad)
Membershlp Rewards
J2,5UU RM5U J2,5UU
J2,5UU RM5U Ior 2 prlnclpa| cards J2,5UU
Supp|ementary Card / kad Tambaban 6,25U RM25 6,25U
SlgnaLure o SupplemenLary ^ppllcanL /
1aodataoqao Pemoboo lad 1ambabao
lax Lo / laks ke
03-2283 6245
or call / aLau hubungl
1 30088 6688
or emall Lo / aLau emel kepada
maybankardsaIesmaybank.ccm.my